Posting Details

Job Title Utilization Management Reviewer/UKHC Requisition Number RE48656 Working Title Utilization Management Reviewer Department Name H4027: REV Cycle MGT-PFE Work Location Lexington, KY Grade Level 11 Salary Range $54,080-95,056/year Type of Position Staff Position Time Status Full-Time Required Education ADN Click here for more information about equivalencies: https://hr.uky.edu/employment/working-uk/equivalencies Required Related Experience 5 yrs Required License/Registration/Certification Registered Nurse (RN) Physical Requirements The physical conditions of this position include: occasionally lifting, pushing, and/or pulling objects up to 10lbs; regularly sitting at a computer workstation for extended periods of time with repetitive motions (such as typing); regularly working in confined spaces; and occasional exposure to radiation and combative people; occasional (<10% of the time) job-related travel. Shift Day shift, Monday through Friday. (Hybrid) Job Summary This position works as a member of the multidisciplinary team with social workers, case managers, financial counselors, and ancillary staff to actively manage and coordinate those functions associated with third party payer certification, appropriate utilization of health services, and some aspects of discharge planning.

IEBC (Internal Employee Being Considered)

This is a hybrid position. Skills / Knowledge / Abilities The ideal candidate will possess strong interpersonal, leadership, organizational, and written/verbal communication skills. General knowledge of criteria for accessing appropriate utilization of resources in the hospital is necessary. Exceptional planning and organizational skill. Effective written and verbal communication skills. General knowledge of criteria utilized by third party payers for admission and continued stay authorizations is necessary. General knowledge of Medicare, Medicaid, and third party payer reimbursement issues is necessary. Does this position have supervisory responsibilities? No Preferred Education/Experience ADN with 5 years’ direct patient care experience. Deadline to Apply 01/05/2025 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors the University of Kentucky is a Tobacco & Drug Free campus.


As an Equal Opportunity Employer, we strongly encourage veterans, individuals with disabilities, women, and all minorities to consider our employment opportunities.


Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.